Individual
DR. KENJI TAKEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
68 35TH ST UNIT 4, BROOKLYN, NY 11232-2211
(718) 622-4058
Mailing address
68 35TH ST UNIT 4, BROOKLYN, NY 11232-2211
(718) 622-4058
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023480
NY
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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